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module 1 – INFANT MOVEMENT DEVELOPMENT

□ I would like to book a place for the Module 1 and enclose a deposit of £300

□ I would like to book a place for the Module 1 and enclose full payment of £1270 (£1200 if full payment is received by July 16 2010)

□ I would like to book a place for Module 1 and enclose a deposit of £300 plus a series of cheques, crossed and post-dated to one week before each weekend, for the full fee of £1270

Please note: to register for Module 1, full payment should be received by 13 August 2010

		NOTES about payments Bookings are only secured once a deposit or the full fee has been received, along with this registration form Deposits are non-refundable The balance should be paid by one month before the start of a course Places cancelled less than one month before the start of a course must be paid for in full, unless the place can be taken by someone from our waiting list. In this case, there will be only a small administrative charge. We regret there can be no refunds once a course has begun Payment should be by cheque, a series of post-dated cheques, or a bank transfer (please enquire for details) received not later than one month before the start of the course. Any alternative payment arrangements will incur a small administrative charge Payments not completed before the start of a course will incur a small administrative charge Please make cheques payable to IBMT-UK and send to: IBMT, Chris Yeomans, 53 College Road Norwich NR2 3JP OR send via bank transfer making sure all transfer costs are covered – please enquire for details.
ABOUT YOU We would like to know a little about you, so invite you to respond briefly to the following: Please give some information about your training and professional background What is your particular interest in the course, and how do you hope to use what you learn? What experience do you have of personal therapy, if any? Have you had any injuries or illness which might affect or be affected by your participation in this course? Please give brief details Is there anything else you would like us to know about?